Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.26 / $157.29 / $160.31	Facility		$154.26	$157.29	$160.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $160.31 / $235.11	Professional		$145.94	$160.31	$235.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.40 / $164.40 / $205.69	Professional		$164.40	$164.40	$205.69
Christus Facility/Professional Facility Modifier Low / Median / High Price $345.45 / $345.45 / $345.45	Facility		$345.45	$345.45	$345.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $192.25	Professional		$140.34	$140.34	$192.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $577.25 / $1,603.51 / $1,603.51	Facility		$577.25	$1,603.51	$1,603.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,729.95 / $1,729.95 / $2,515.19	Professional		$1,729.95	$1,729.95	$2,515.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $260.13 / $345.45	Facility		$104.04	$260.13	$345.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.04 / $317.81 / $348.39	Professional		$104.04	$317.81	$348.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.45 / $369.98 / $792.81	Professional		$345.45	$369.98	$792.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $229.24 / $345.45	Facility		$104.04	$229.24	$345.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $140.34 / $278.83	Professional		$140.34	$140.34	$278.83
United Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $184.97 / $231.21	Professional		$127.91	$184.97	$231.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $184.32 / $345.45	Professional		$183.63	$184.32	$345.45